Humberto Balderrama, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135541 Issued in TX

Practice address

1250 E Cliff Dr Ste 2B
El Paso, TX 79902-4848

Phone

(915) 351-7200

Fax

(915) 351-7201

NPI assigned

Nov 19, 2017

Last updated

Mar 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
• The Hospitals of Providence Transmountain Campus Hospital, El Paso, TX, CCN 670120

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: humberto.balderrama.1@1438.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BHS Physicians Network, Inc

  dba Surgical Oncology Associates of South Texas

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • El Paso, TX
  • NPI 1831267079
  Medicare reassignment NPD
• BHS Physicians Network, Inc

  dba Orthopedic Performance Institute

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• Centro San Vicente

  • Federally Qualified Health Center (FQHC)
  • San Elizario, TX
  • NPI 1780761452
  NPD
• BHS Specialty Network Inc

  dba Heart & Vascular Institute of Texas

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tenet Hospitals Limited

  dba The Hospitals of Providence Transmountain Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1538522412
  Care Compare affiliation
• Tenet Hospitals Limited

  dba The Hospitals of Providence Memorial Campus

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1215441886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 2B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024848",
            "telephone_number": "915-351-7200",
            "fax_number": "915-351-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 2B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024848",
            "telephone_number": "915-351-7200",
            "fax_number": "915-351-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "HUMBERTO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-19",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kahla Alexandra Balderas
• Marybel Balderas, SLP
• Amber Celeste Balderrama
• Bianca M Balderrama, LPC
• Erica Renee Balderrama, LMSW
• Karina Balderrama
• Priscilla Balderrama, MS, RD, LD
• Stephanie Lynn Baldwin
• Katia Ballesteros
• Martha L Ballesteros, LCSW

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.